Active NPI
Mary Wood, M.A, BCBA
- Behavior Analyst
- Greenville, SC
National Provider Identifier
1902352271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11622552
- Practice address
- 17 Caledon CT
Suite B
Greenville, SC 29615-3170 - Phone
- (864) 631-2084
- NPI assigned
- Aug 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 11622552 | SC | Primary |
Addresses
Primary practice location
17 Caledon CT
Suite B
Greenville, SC 29615-3170
Mailing address
PO Box 51322
Bowling Green, KY 42102-5622
Phone (270) 777-9283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11622552 | SC | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498521600000",
"number": "1902352271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51322",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421025622",
"telephone_number": "270-777-9283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 CALEDON CT",
"address_2": "SUITE B",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153170",
"telephone_number": "864-631-2084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "MARY",
"credential": "M.A, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-28",
"last_updated": "2017-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "SC",
"license": "11622552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.